813_SURPLUS_MATERIEL_WORKSHEET.pdf
PDF 110 KB Posted
- Attached to
- PUMP, AXIAL PISTONS (NSN: 4320-00-872-8798 GA)
- Solicitation number
- SPRWA1-26-Q-0018
- Issued by
-
Defense Logistics Agency Aviation
About this file
This is an AFMC Form 813 Surplus Materiel Worksheet dated 06 JAN 2026 for evaluating whether surplus government inventory can fulfill procurement requirements for a specific part.
The worksheet pertains to part number 204-076-006-1 (NSN 4320008728798GA) manufactured by Bell Textron Inc. (CAGE 97499), with application to the TH-1H helicopter. The evaluation was requested by Alissa R. Benkoski at AFLCMC/WIUEE and completed on 23 MAR 2026. The evaluation criteria indicate that surplus materiel is acceptable for consideration across multiple categories: new/unused, new/reconditioned, new/modified, and used/overhauled items from both government and commercial sources. Specific evaluation requirements include part number and manufacturer verification, prior government ownership documentation, 100% end item inspection, test and verification to OEM specifications, verifiable dimensions, location inspection testing, and initial acceptability testing. The remarks section specifies that all items require a Certificate of Conformance to OEM specifications from Bell Textron Inc., with OEM markings acceptable for new, reconditioned, or overhauled products. No justification for unacceptable surplus materiel was documented, and the evaluator certified the worksheet as complete on 23 MAR 2026.
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Other files
| File | Type | Posted |
|---|---|---|
| 1653_Transportation_Data.pdf | ||
| 158_Packaging_Requirements.pdf | ||
| SPRWA1-26-Q-0018_2 Jun 2026.pdf |
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Text version
SURPLUS MATERIEL WORKSHEET
DATE
06 JAN 2026
I. REQUEST FOR EVALUATION
NSN
4320008728798GA
PART NUMBER
204-076-006-1
CAGE
97499
APPLICATION
TH-1H
IMS
Benkoski, Alissa R
OFFICE SYMBOL
AFLCMC / WIUEE
PHONE
478-327-2552
SURPLUS MATERIEL MAY BE AVAILABLE TO FULFILL THE GOVERNMENT'S NEEDS FOR THIS ITEM. AS A RESULT, AN EVALUATION MUST BE PERFORMED
IAW AFMC FAR SUPPLEMENT PART 5352.
THE EVALUATION ON THIS ITEM INDICATES SURPLUS MATERIEL WILL BE CONSIDERED IN THE FOLLOWING TYPES / CATEGORIES
II. EVALUATION CRITERIA (For types/categories deemed acceptable)
ACCEPT-
ABLE (Y/N)
P/N AND
MFG
VERIFI-
CATION
PRIOR
GOV'T
OWNER-
SHIP
100% END
ITEM
INSPECT
TEST AND
VERIFI-
CATION
VERIFI-
ABLE
DIMEN-
SIONS
LOCATION
INSPEC-
TION
TESTING
INITIAL
ACCEPT-
ABILITY
ITEMS
OVERHAUL
AND
CERTIFI-
CATION
OTHER
(Explain in Remarks)
Y X X
Y X X X
N
Y X X X X
Y X
Y X X
N
Y X X X
G O V T
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
C O M M L
S U R P L U S
NEW/UNUSED
NEW/RECONDITIONED
NEW/MODIFIED
USED/OVERHAULED
SURPLUS EVALUATION CRITERIA (If Section 11a. indicates surplus materiel may be considered). (Fill in blanks as appropriate)
PART NUMBER VERIFICATION 97499(AFMCFARS 5352.211-9011) MFG 204-076-006-1P/N
PRIOR GOVERNMENT OWNERSHIP (AFMCFARS 5352.211-9015)
100% END ITEM INSPECTION (AFMCFARS 5352.211-9017)
TEST AND VERIFICATION (AFMCFARS 5352.211-9013) TECH ORDER NUMBER
VERIFIABLE DIMENSION (AFMCFARS 5352.211-9012) DESIGN ACTIVITY
DRAWING NUMBER
LOCATION OF INSPECTION TESTING (AFMCFARS 5352.211-9015)
INITIAL ACCEPTABILITY ITEMS (AFMCFARS 5352.211-9014) A QUANTITY OF ITEMS WILL BE TESTED FOR INITIAL ACCEPTANCE
See remarks below. Test and Verification to OEM specification and accompanying Certificate of Conformance.
TEST WILL BE CONDUCTED USING THE FOLLOWING CRITERIA (and location of testing)
OVERHAUL AND CERTIFICATION (AFMCFARS 5352.211-9010)
Overhaul to OEM specifications. See remarks below. Test and verification to OEM specifications and accompanying Certificate of Conformance.
OTHER SPECIAL REQUIREMENTS (Explain)
Benkoski, Alissa RNAME: 23 MAR 2026DATE:
Certificate of Conformance to OEM specifications. Original OEM is Bell Textron Inc.(CAGE 97499). OEM markings acceptable with attached C of C for new, reconditioned, or overhauled product.
REMARKS
JUSTIFICATION FOR UNACCEPTABLE SURPLUS MATERIEL
EVALUATOR
Benkoski, Alissa R
OFFICE SYMBOL
AFLCMC / WIHEX
PHONE
478-327-2552 / 497-2552
COMPLETE DATE
23 MAR 2026
SIGNATURE
//SIGNED// Benkoski, Alissa R
USER TYPE
Engineer
SIGNATURE DATE
23 MAR 2026
Page 1 of 1AFMC FORM 813, 20000323 (IMT-V1) Version 11Generated by PRPS using Jasper Reports on 15 May 2026
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